NICHOLAS JACOB PRABHAKAR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171870

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

JACOB

Last Name

PRABHAKAR

Business Name

NICHOLAS JACOB PRABHAKAR DO

Original Issue Date

09/06/2024

Effective Date

09/06/2024

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024